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July 11, 2024 HB 24-1400
Legislative Council Staff
Nonpartisan Services for Colorado’s Legislature
Final Fiscal Note
Drafting Number:
Prime Sponsors:
LLS 24-1095
Rep. Bird; Sirota
Sen. Kirkmeyer; Zenzinger
Date:
Bill Status:
Fiscal Analyst:
July 11, 2024
Signed into Law
Kristine McLaughlin | 303-866-4776
kristine.mclaughlin@coleg.gov
Bill Topic: MEDICAID ELIGIBILITY PROCEDURES
Summary of
Fiscal Impact:
☐ State Revenue
☒ State Expenditure
☐ State Transfer
☐ TABOR Refund
☐ Local Government
☐ Statutory Public Entity
Budget package bill. The bill modifies the Medicaid eligibility determination
procedures. The bill increases state expenditures on an ongoing basis.
Appropriation
Summary:
No appropriation is required.
Fiscal Note
Status:
The final fiscal note reflects the enacted bill, which was recommended by the Joint
Budget Committee as part of the FY 2024-25 budget package.
Summary of Legislation
For certain Medicaid eligibility determination procedures that were suspended during the
pandemic, the bill extends the time the procedures are suspended until January 1, 2025, to align
state statute with federal guidance.
In addition, the bill permits the Department of Health Care Policy and Financing (HCPF) to seek
ongoing federal authorization so that under certain circumstances:
applicants with previously verified income will not need to resubmit income verifications;
applicants with no change in assets will not need to resubmit asset information;
procedural eligibility terminations, which are typically due to missing information, could be
delayed for specific populations; and
information from other means-tested programs, such as the Supplemental Nutrition
Assistance Program (SNAP) or Temporary Assistance for Needy Families (TANF), could be
used to determine Medicaid eligibility regardless of differences in program rules for income
counting and determining household composition.
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July 11, 2024 HB 24-1400
Background
Senate Bill 23-182 suspended various statutory requirements related to enrollment and cost
sharing for Medicaid and other state health programs in line with federal law. These changes
were a condition of receiving federal funds under the Families First Coronavirus Response Act,
which requires states to maintain continuous coverage for clients and provide certain services
during specified wind-down periods following the end of the federal public health emergency.
State Expenditures
To the extent the bill results in HCPF covering members for additional months due to
continuous coverage requirements and streamlined enrollment processes, costs will increase.
These impacts are discussed below.
Continuous coverage requirements. The bill codifies and aligns state statute with recent
timeline changes in federal law and regulations. Given that HCPF is currently implementing
these changes and their FY 2024-25 budget request already assumes the federal timeline, no
additional appropriation is required.
Streamlined enrollment processes. The bill will increase workload in HCPF to the extent
federal authorization is sought to streamline the enrollment process. Given the work that has
already been completed on this topic, this workload is expected to be minimal. If federal
authority is granted, assumed no earlier than January 1, 2025, based on new-member service
utilization and the current timelines for enrolling new members, the effect on service costs is
expected to be minimal. Any effect will be adjusted for through the annual budget process as
more data becomes available.
Effective Date
This bill was signed into law by the Governor and took effect on April 18, 2024.
State and Local Government Contacts
Health Care Policy and Financing Join Budget Committee Staff
The revenue and expenditure impacts in this fiscal note represent changes from current law under the bill for each
fiscal year. For additional information about fiscal notes, please visit the General Assembly website.